| David Spangler Phd Inc | |
|
6 Medical Plaza Dr Roseville CA 95661-3037 | |
| (530) 613-8131 | |
| Not Available |
| Full Name | David Spangler Phd Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6 Medical Plaza Dr, Roseville, California |
| Authorized Official Name and Position | David Spangler (PRESIDENT) |
| Authorized Official Contact | 5306138131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Spangler Phd Inc 3301 Nancy Dr Auburn CA 95602-8881 Ph: (530) 613-8131 | David Spangler Phd Inc 6 Medical Plaza Dr Roseville CA 95661-3037 Ph: (530) 613-8131 |
| NPI Number | 1306195094 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 08/04/2015 |
| Medicare PECOS PAC ID | 6305096074 |
|---|---|
| Medicare Enrollment ID | O20121016000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306195094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY20649 (California) | Primary |
| Provider Name | David Jc Spangler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770642779 PECOS PAC ID: 6103975701 Enrollment ID: I20090529000484 |
| Provider Name | Kimberly E Lanni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437587615 PECOS PAC ID: 5395973887 Enrollment ID: I20160329002856 |
| Provider Name | Lee Hendrix Pickett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194900241 PECOS PAC ID: 1052499167 Enrollment ID: I20170508002425 |
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